Insulin

Question 1

Action

Answer 1

• Hormone that promotes the storage of the body’s fuels
• Facilitates the transport of various metabolites and ions across cell membranes
• Stimulates the synthesis of glycogen from glucose

Question 2

Indications

Answer 2

-Treatment of type 1 and 2 diabetes mellitus

Question 3

Contraindications

Answer 3

-None

Question 4

Caution

Answer 4

-Pregnancy and lactation

Question 5

Adverse effects

Answer 5

• Hypoglycemia

- Ketoacidosis

Question 6

Drug-Drug interactions

Answer 6

• When given with any drug that decreases blood glucose levels
• Beta blockers

Question 7

Assessment

Answer 7

• History and physical exam
• Allergy, pregnancy/lactation, COPD, skin lesions, orientation
• VS, exercise amount, glucose levels

Question 8

Nursing diagnoses

Answer 8

• Risk for unstable blood glucose r/t the use of insulin
• Imbalanced nutrition r/t metabolic effects of the drug
• Disturbed sensory perception r/t glucose levels
• Risk for infection r/t injections and disease process
• Risk for injury r/t potential hyperglycemia or hypoglycemia
• Ineffective coping r/t diagnosis and need for injection therapy
• Deficient knowledge regarding drug therapy

Question 9

Implementation

Answer 9

• Use caution when mixing types of insulin
• Store in cool place away from sunlight
• Monitor pt during times of trauma or stress
• Monitor pt food intake
• Monitor pt exercise and activities
• Protect pt from infection
• Monitor pt for sensory losses
• Help pt deal with lifestyle changes
• Provide pt teaching
• Ensure pt is follwoing diet and exercise regimen
• Gently rotate vial
• Monitor response

Question 10

Evaluation

Answer 10

• Evaluate response to drug
• Evaluate effectiveness of the teaching plan
• Evaluate the effectiveness of comfort and safety measures/ compliance with regimen